{"id":3892,"date":"2016-08-08T10:00:53","date_gmt":"2016-08-08T10:00:53","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/complicacoes-da-pancreatite-cronica-cursando-com-dor-abdominal-manejo-endoscopico\/"},"modified":"2023-08-07T20:33:53","modified_gmt":"2023-08-07T20:33:53","slug":"complicacoes-da-pancreatite-cronica-cursando-com-dor-abdominal-manejo-endoscopico","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/complicacoes-da-pancreatite-cronica-cursando-com-dor-abdominal-manejo-endoscopico\/","title":{"rendered":"Complica\u00e7\u00f5es da pancreatite cr\u00f4nica cursando com dor abdominal \u2013 manejo endosc\u00f3pico"},"content":{"rendered":"<p style=\"text-align: justify;\">Relatamos o caso de uma paciente feminina de 56 anos, com hist\u00f3ria de alcoolismo e tabagismo de longa data, cursando com dor abdominal por 12 meses, at\u00e9 ser internada na enfermaria de Gastroenterologia do Hospital S\u00e3o Paulo, UNIFESP, com piora importante da dor, emagrecimento e aumento do volume abdominal.<\/p>\n<p style=\"text-align: justify;\">Ao exame na admiss\u00e3o hospitalar apresentava-se emagrecida com IMC=19Kg\/m<sup>2<\/sup>, descorada, anict\u00e9rica e com ascite moderada, sem sinais de insufici\u00eancia hep\u00e1tica. Hemoglobina 11 g\/dL, albumina 2,8 g\/dL, bilirrubina total 0,39 mg\/dL, FA 233 U\/L, GGT 114 U\/L, amilase 463 U\/L, PCR 48 mg\/dL e AP\/RNI 84%\/1,14. &nbsp;L\u00edquido asc\u00edtico com total de 350 c\u00e9lulas, amilase de 1884 e albumina de 1,6.&nbsp; RNM apresentou p\u00e2ncreas com dimens\u00f5es reduzidas, cisto de parede espessada (3,5 x 3,8 cm) na por\u00e7\u00e3o cef\u00e1lica, dilata\u00e7\u00e3o de ducto pancre\u00e1tico principal (DPP), trombose parcial da veia porta e ascite. (Figura 1)<\/p>\n<div id=\"attachment_6467\" style=\"width: 442px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Figura1.bmp\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-6467\" class=\"wp-image-6467 size-full\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Figura1.bmp\" alt=\"Figura1\" width=\"432\" height=\"4294966973\"><\/a><p id=\"caption-attachment-6467\" class=\"wp-caption-text\">Figura 1: Colangiorresson\u00e2ncia.<\/p><\/div>\n<p style=\"text-align: justify;\">Feito hip\u00f3tese de pancreatite cr\u00f4nica complicada com ascite pancre\u00e1tica (prov\u00e1vel f\u00edstula do DPP) e pseudocisto de cabe\u00e7a de p\u00e2ncreas.<\/p>\n<p style=\"text-align: justify;\"><u>Primeira PCRE<\/u>: dilata\u00e7\u00e3o e tortuosidade do DPP com extravasamento de contraste (ponto da f\u00edstula) na cauda, al\u00e9m de pseudocisto na cabe\u00e7a pancre\u00e1tica. Foi colocado uma pr\u00f3tese pancre\u00e1tica pl\u00e1stica de 7 Fr x 10 cm. (Figuras 2, 3 e 4).<\/p>\n<div id=\"attachment_9384\" style=\"width: 417px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/08\/Fig-2.bmp\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-9384\" class=\"wp-image-9384\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/08\/Fig-2.bmp\" alt=\"\" width=\"407\" height=\"404\"><\/a><p id=\"caption-attachment-9384\" class=\"wp-caption-text\">Figura 2<\/p><\/div>\n<div id=\"attachment_9385\" style=\"width: 433px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/08\/Fig-3.bmp\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-9385\" class=\"wp-image-9385\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/08\/Fig-3.bmp\" alt=\"\" width=\"423\" height=\"421\"><\/a><p id=\"caption-attachment-9385\" class=\"wp-caption-text\">Figura 3<\/p><\/div>\n<div id=\"attachment_6510\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-4-2.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6510\" class=\"wp-image-6510\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-4-2.bmp\" alt=\"Figura 4\" width=\"350\" height=\"348\"><\/a><p id=\"caption-attachment-6510\" class=\"wp-caption-text\">Figura 4<\/p><\/div>\n<p style=\"text-align: justify;\">N\u00e3o apresentou&nbsp;melhora da dor, nem da ascite, e passou a apresentar febre com quadro de sepse. Hip\u00f3tese: complica\u00e7\u00e3o da drenagem transpapilar (pr\u00f3tese oclu\u00edda e contamina\u00e7\u00e3o da cavidade peritoneal pelo extravasamento de contraste), apesar de antibioticoterapia profil\u00e1tica.<\/p>\n<p style=\"text-align: justify;\"><u>Segunda PCRE<\/u>: persistia com pseudocisto de cabe\u00e7a de p\u00e2ncreas e extravasamento de contraste na cauda. Notado ainda poss\u00edvel estenose do DPP na transi\u00e7\u00e3o cabe\u00e7a\/corpo. Feito esfincterotomia pancre\u00e1tica, dilata\u00e7\u00e3o da estenose pancre\u00e1tica com bal\u00e3o de via biliar de 10 mm e coloca\u00e7\u00e3o de pr\u00f3tese biliar 10 Fr x 10 cm. (Figuras 5, 6 e 7). Ampliado&nbsp;espectro de antibi\u00f3ticos.<\/p>\n<div id=\"attachment_6505\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-5-1.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6505\" class=\"wp-image-6505\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-5-1.bmp\" alt=\"Figura 5\" width=\"350\" height=\"355\"><\/a><p id=\"caption-attachment-6505\" class=\"wp-caption-text\">Figura 5<\/p><\/div>\n<div id=\"attachment_6496\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-6.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6496\" class=\"wp-image-6496\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-6.bmp\" alt=\"Figura 6\" width=\"350\" height=\"348\"><\/a><p id=\"caption-attachment-6496\" class=\"wp-caption-text\">Figura 6<\/p><\/div>\n<div id=\"attachment_6506\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-7-1.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6506\" class=\"wp-image-6506\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-7-1.bmp\" alt=\"Figura 7\" width=\"350\" height=\"350\"><\/a><p id=\"caption-attachment-6506\" class=\"wp-caption-text\">Figura 7<\/p><\/div>\n<p style=\"text-align: justify;\">Apresentou melhora cl\u00ednica da dor, ascite e quadro da sepse. Recebeu alta hospitalar e seguiu no ambulat\u00f3rio de p\u00e2ncreas, recebendo pancreatina via oral. Evoluiu sem dor, com ganho de peso e regress\u00e3o da ascite. TC de abdomen confirmou 3 meses ap\u00f3s aus\u00eancia de ascite e do pseudocisto. Retornou para nova PCRE.<\/p>\n<p style=\"text-align: justify;\"><u>Terceira PCRE<\/u> (3 meses depois da segunda PCRE): retirada a pr\u00f3tese pancre\u00e1tica. DPP dilatado, tortuoso, sem sinais de extravasamento de contraste (sem fistula e sem pseudocisto). Col\u00e9doco distal com estenose regular e dilatac\u00e3o da via biliar a montante. Realizado troca da pr\u00f3tese pancre\u00e1tica por uma&nbsp;de 10 Fr x 12 cm (biliar). Esfincterotomia biliar, dilata\u00e7\u00e3o da estenose biliar com bal\u00e3o de 10 mm e coloca\u00e7\u00e3o de pr\u00f3tese biliar auto-expans\u00edvel totalmente&nbsp;recoberta de 10 mm x 6 cm. (Figuras 8, 9, 10, 11, 12 e 13).<\/p>\n<div id=\"attachment_6507\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-8-1.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6507\" class=\"wp-image-6507\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-8-1.bmp\" alt=\"Figura 8\" width=\"350\" height=\"349\"><\/a><p id=\"caption-attachment-6507\" class=\"wp-caption-text\">Figura 8<\/p><\/div>\n<div id=\"attachment_6508\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-9-1.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6508\" class=\"wp-image-6508\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-9-1.bmp\" alt=\"Figura 9\" width=\"350\" height=\"348\"><\/a><p id=\"caption-attachment-6508\" class=\"wp-caption-text\">Figura 9<\/p><\/div>\n<div id=\"attachment_6500\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-10.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6500\" class=\"wp-image-6500\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-10.bmp\" alt=\"Figura 10\" width=\"350\" height=\"349\"><\/a><p id=\"caption-attachment-6500\" class=\"wp-caption-text\">Figura 10<\/p><\/div>\n<div id=\"attachment_6509\" style=\"width: 360px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-11-1.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6509\" class=\"wp-image-6509\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-11-1.bmp\" alt=\"Figura 11\" width=\"350\" height=\"348\"><\/a><p id=\"caption-attachment-6509\" class=\"wp-caption-text\">Figura 11<\/p><\/div>\n<div id=\"attachment_6502\" style=\"width: 368px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-12.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6502\" class=\"wp-image-6502\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-12.bmp\" alt=\"Figura 12\" width=\"358\" height=\"8402176079\"><\/a><p id=\"caption-attachment-6502\" class=\"wp-caption-text\">Figura 12<\/p><\/div>\n<div id=\"attachment_6503\" style=\"width: 442px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-13.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6503\" class=\"size-full wp-image-6503\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Fig-13.bmp\" alt=\"Figura 13\" width=\"432\" height=\"4294967053\"><\/a><p id=\"caption-attachment-6503\" class=\"wp-caption-text\">Figura 13<\/p><\/div>\n<p style=\"text-align: justify;\">No seguimento evoluiu sem dor abdominal, com ganho de peso, em uso de pancreatina, em abstin\u00eancia do \u00e1lcool.<\/p>\n<p style=\"text-align: justify;\"><u>Retornou para a quarta PCRE<\/u> (3 meses ap\u00f3s) quando foi trocado a pr\u00f3tese do p\u00e2ncreas por outra biliar de 10 Fr, sendo mantida a pr\u00f3tese biliar auto-expans\u00edvel.<\/p>\n<p style=\"text-align: justify;\">Por fim, <u>retornou para quinta PCRE<\/u> quando foram retiradas as duas pr\u00f3teses, a biliar auto-expans\u00edvel (permaneceu 6 meses) e a pr\u00f3tese do p\u00e2ncreas (pelo menos 10 meses de perman\u00eancia).<\/p>\n<p style=\"text-align: justify;\">Desde ent\u00e3o, \u00e9 acompanhada clinicamente no ambulat\u00f3rio de p\u00e2ncreas, assintom\u00e1tica, em uso de pancreatina, h\u00e1 cerca de 3 anos.<\/p>\n<p style=\"text-align: justify;\">O objetivo deste relato foi demonstrar um complexo caso de pancreatite cr\u00f4nica com v\u00e1rias complica\u00e7\u00f5es, tratado com m\u00faltiplos e diferentes procedimentos dispon\u00edveis na terapia endosc\u00f3pica para pancreatite cr\u00f4nica, al\u00e9m do tratamento clinico de suporte.<\/p>\n<p style=\"text-align: justify;\">Excelente revis\u00e3o da literatura sobre o assunto pode ser vista em artigo publicado na Endoscopy (link):&nbsp;<strong><span style=\"color: #008000;\"><a style=\"color: #008000;\" href=\"https:\/\/www.thieme-connect.com\/DOI\/DOI?10.1055\/s-0032-1309840\" target=\"_blank\" rel=\"noopener\">\u201cEndoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline\u201d. Endoscopy 2012; 44(8):784-800<\/a>.<\/span><\/strong><\/p>\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/gastropedia.com.br\/gastroenterologia\/pancreas\/aumento-de-enzimas-pancreaticas-no-sangue-como-investigar-ou-conduzir\/\">Para saber mais sobre este tema, acesse o site Gastropedia clicando aqui!<\/a><\/h3>\n","protected":false},"excerpt":{"rendered":"<p>Relatamos o caso de uma paciente feminina de 56 anos, com hist\u00f3ria de alcoolismo&hellip;<\/p>\n","protected":false},"author":1648,"featured_media":3893,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[281],"tipo":[155],"volume":[147],"class_list":["post-3892","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-281","tipo-cpre","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Complica\u00e7\u00f5es da pancreatite cr\u00f4nica cursando com dor abdominal \u2013 manejo endosc\u00f3pico &#8226; 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